Ignite Creation Date:
2024-05-06 @ 3:34 PM
Last Modification Date:
2024-10-26 @ 1:51 PM
Study NCT ID:
NCT04671173
Status:
UNKNOWN
Last Update Posted:
2022-04-12
First Post:
2020-12-08
Brief Title:
Real-Time Muscle Pressure Measurements in Patients at Risk for Acute Compartment Syndrome
Sponsor:
McGill University Health CentreResearch Institute of the McGill University Health Centre
Organization:
McGill University Health CentreResearch Institute of the McGill University Health Centre
Study Overview
Official Title:
Real-Time Muscle Pressure Measurements in Patients at Risk for Acute Compartment Syndrome A Prospective Cohort Study With Historical Control
Status:
UNKNOWN
Status Verified Date:
2022-04
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this trial is to conduct a pilot study that will aid in the design of an evaluation of the clinical benefit of MY01 an FDA cleared device that allows continuous monitoring of intracompartmental muscle pressure in patients at risk for developing acute compartment syndrome MY01 has previously been successfully tested on animal and Human cadaver Acute Compartment Syndrome models within the RI MUHC through Department of Defense research Grant Combat Casualty Care Research Program CCCRP This trial is supported by the same grant as the next phase of the overall project
This is a multi-center non-randomized historically controlled prospective trial of the MY01 device A cohort of 50 participants will be prospectively enrolled with two weeks follow up to document clinical benefit of the device Results from this study will be used to inform the design of a larger study designed to demonstrate the clinical benefit of the MY01 device in the early diagnosis of ACS
The role of each organisation within the trial are detailed below
Research Institute of McGill University Health Centre RI MUHC study coordination and data analysis no recruitment activity will take place in the MUHC
Hennepin Healthcare participants recruitment
Vanderbilt University Medical Centre participants recruitment
This is a multi-center non-randomized historically controlled prospective trial of the MY01 device A cohort of 50 participants will be prospectively enrolled with two weeks follow up to document clinical benefit of the device Results from this study will be used to inform the design of a larger study designed to demonstrate the clinical benefit of the MY01 device in the early diagnosis of ACS
The role of each organisation within the trial are detailed below
Research Institute of McGill University Health Centre RI MUHC study coordination and data analysis no recruitment activity will take place in the MUHC
Hennepin Healthcare participants recruitment
Vanderbilt University Medical Centre participants recruitment
Detailed Description:
Research Plan
The purpose of this trial is to conduct a pilot study that will inform the design of a trial to evaluate the clinical benefit of MY01 a FDA cleared device that allows continuous monitoring of intracompartmental muscle pressure in patients at risk for developing acute compartment syndrome The MY01 device is a digitally connected device with a companion mobile app designed to continuously monitor intracompartmental pressure outputting the results to the mobile app where clinicians can track the pressure in real time
There are several goals of this study Fifty patients with high-energy injuries to the proximal leg and tibial shaft will be prospectively studied and compared to a cohort of historical controls We want to evaluate the feasibility of collecting data related to the diagnosis of ACS and the measurement of its associated complications We will also use this data to attempt to assign a modified Boyers grade to a cohort of prospectively enrolled patients and historical controls Clinical validation of the modified Boyers grade will represent a large step forward in compartment syndrome research since it will bring an objective assessment of severity to the diagnosis of acute compartment syndrome
These control patients are to be obtained from several cohorts of patients
1- Data collected for 3 Retrospective studies on tibial fractures and dislocations resulting in acute compartment syndrome completed in Montreal General Hospital Vanderbilt University Health Centre and Hennepin Healthcare The data received from those existing studies will be de-identified
2 - Patients treated in the PACS study previously funded by DOD and run by METRC
3- Trauma Quality Programs Participant Use File TQP data
Another goal is to assess the reoperation rates for limb salvage or amputation among patients that undergo continuous monitoring of ICP using the MY01 monitor relative to a cohort of historical controls who did not receive continuous monitoring
Primary Research Outcome
Assess the reoperation rate and number of operative procedures for all surgically managed acute compartment syndrome patients
Secondary Research Outcomes
There are numerous outcomes that are related to the severity of ACS when it is diagnosed This study will also assess our ability to identify the following secondary outcomes among a cohort of prospectively enrolled patients relative to a cohort of historical controls
1 Comparison of grades of ACS to the historic controls
2 Increased proportion of lower ACS outcome grades Grades 12 as per grade
3 Reduction in time to diagnosis of ACS
4 Improved short-term visual analog pain scores VAS for pain in affected limb
5 Reduction in inpatient days
6 Reduction in Skin Grafts
7 Reduction in Major Myectomy
8 Reduction in Anesthesia Time for patients undergoing fasciotomy
9 Clinical ease with which the new compartment pressure monitor was inserted into a muscle compartment per satisfaction survey
The purpose of this trial is to conduct a pilot study that will inform the design of a trial to evaluate the clinical benefit of MY01 a FDA cleared device that allows continuous monitoring of intracompartmental muscle pressure in patients at risk for developing acute compartment syndrome The MY01 device is a digitally connected device with a companion mobile app designed to continuously monitor intracompartmental pressure outputting the results to the mobile app where clinicians can track the pressure in real time
There are several goals of this study Fifty patients with high-energy injuries to the proximal leg and tibial shaft will be prospectively studied and compared to a cohort of historical controls We want to evaluate the feasibility of collecting data related to the diagnosis of ACS and the measurement of its associated complications We will also use this data to attempt to assign a modified Boyers grade to a cohort of prospectively enrolled patients and historical controls Clinical validation of the modified Boyers grade will represent a large step forward in compartment syndrome research since it will bring an objective assessment of severity to the diagnosis of acute compartment syndrome
These control patients are to be obtained from several cohorts of patients
1- Data collected for 3 Retrospective studies on tibial fractures and dislocations resulting in acute compartment syndrome completed in Montreal General Hospital Vanderbilt University Health Centre and Hennepin Healthcare The data received from those existing studies will be de-identified
2 - Patients treated in the PACS study previously funded by DOD and run by METRC
3- Trauma Quality Programs Participant Use File TQP data
Another goal is to assess the reoperation rates for limb salvage or amputation among patients that undergo continuous monitoring of ICP using the MY01 monitor relative to a cohort of historical controls who did not receive continuous monitoring
Primary Research Outcome
Assess the reoperation rate and number of operative procedures for all surgically managed acute compartment syndrome patients
Secondary Research Outcomes
There are numerous outcomes that are related to the severity of ACS when it is diagnosed This study will also assess our ability to identify the following secondary outcomes among a cohort of prospectively enrolled patients relative to a cohort of historical controls
1 Comparison of grades of ACS to the historic controls
2 Increased proportion of lower ACS outcome grades Grades 12 as per grade
3 Reduction in time to diagnosis of ACS
4 Improved short-term visual analog pain scores VAS for pain in affected limb
5 Reduction in inpatient days
6 Reduction in Skin Grafts
7 Reduction in Major Myectomy
8 Reduction in Anesthesia Time for patients undergoing fasciotomy
9 Clinical ease with which the new compartment pressure monitor was inserted into a muscle compartment per satisfaction survey
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
True
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None